• WEIR SPM - ENVIRONMENTAL HEALTH AND SAFETY PROGRAM General Planned Inspection Form Number: EHSF-1.7a Revision: 0 Form Approved by: Steve Oliver, EHS Manager Date: March 3 , 2015

  • Document No.


  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel doing the audit

  • Select date

Posting and Warning signs

  • Signs Present for all Regulatory Requirements

  • Signs are present as warning for risks

  • Risk Rating

Personal Protective Equipment

  • All basic PPE worn as required. Using proper gloves for operation

  • Welders wearing required PPE.

  • Painters / parts washers using proper PPE

  • Non uniformed personnel wearing vests

  • All PPE properly stored (respirators)

  • Respirator cartridges in good condition, changed often

  • Risk Rating

General Housekeeping

  • Floors, walls, ceilings are clean and free of debris. Pathways marked

  • Equipment clean and in good repair

  • isle ways and egress points free of blockages and storages

  • Restrooms, break areas, smoking areas are clean and in good repair

  • Materials, tools and fixtures properly stored and in good condition

  • Risk Rating


  • All ladders inspected and good condition. Eliminate loose ladders.

  • Rolling stairs, moving platforms, scaffolds in good condition and properly used. Fall protection harnesses / lanyards inspected and personnel trained

  • Risk Rating


  • Stairs sturdy and free of any debri or storage

  • Railings on both side

  • Steps in good condition and of uniform height and length.

  • Risk Rating

Storage Tanks/Drums

  • Stored in marked, designated area. Spill Containment Provided

  • All Containers Properly Labeled for Content

  • Drums Stored Neatly with Bungs Covered and Buckets with cover on them.

  • Risk Rating


  • Emergency exits clearly marked with lighted signs. Open outwards

  • Plan in place that shows egress points and evacuation zone Employees aware of where evacuation zones are

  • Flammable storages are kept at least 20 ft away from emergency exits

  • Egress point open freely, lead to open & level area and are unobstructed.

  • Risk Rating


  • walking/working Areas Adequately Illuminated

  • No missing light fixtures

  • Risk Rating

Noise Exposure

  • Any air leaks or high pressure air use that generates high noise?

  • Any high noise areas (hard to understand persons speaking?)

  • Risk Rating


  • Employees seen lifting over 50 lbs or backward objects

  • Body positions detected that could cause illnesses or injuries?

  • Platforms and work stools provided for employees.

  • Excessive vibration in tooling detected

  • Risk Rating

Stacking and Storage

  • All racks properly anchored and stable. Lights above racks protected.

  • All racks with SWL posted and uprights with bump protectors

  • Combustibles storages (ej. wooden pallet stacks) stored away from building. At least 33 ft. away with no flammable sources.

  • Risk Rating

Materials Handling /Lifting operations

  • Cranes inspected and yearly certified - No visible damage.

  • Crane controls working and in good condition]

  • Chains, slings, inspected and 6 (color coded)

  • Eye bolts, loops and other lifting devices inspected (Color coded)

  • pallets, boxes, skids etc in good condition\

  • Risk Rating

Lift Truck Operations

  • Operator certified to operate forklift (clearly designated)

  • Forklift inspected and in good condition

  • Forklift fitted with speed limiters and fire extinguishers

  • Pathways for forklift and pedestrians designated and segregated

  • Speed limit posted. PIV's not exceeding speed limits.

  • Risk Rating

Chemicals, Fuels, eye washes and showers

  • All chemicals properly labeled.

  • All chemicals stored in Flammable cabinets.

  • Flammable drums bonded and grounded. In vented area

  • Chemical spill kits are available in all sites

  • Fuel tanks grounded, secondary containment and away from building.

  • Fire protection devices on all hazardous operations

  • Eye washes / showers inspected monthly. They have Signage on them.

  • Risk Rating

Compressed Gasses

  • Stored away from sources of heat / flame and away from oil/grease

  • Fuels and oils separated

  • Bottles must be Chained or caged.

  • Stored in designated, labeled area. Fuels and oxidizers separated

  • Risk Rating

Waste Disposal and Sanitation

  • Food and drink not permitted in work areas (water bottles exception)

  • Trash removed often from work areas.

  • Risk Rating

Hand and Portable Tools

  • Hoses and cords in good repair and properly stored

  • Power tools in good condition and with no missing guards or ground prongs

  • Compressed air blow off tools equipped with safety nozzles.

  • All tools and cords are UL certified

  • Risk Rating

Pneumatic, Boiler & Pressure Vessel Systems

  • All pressure vessels have adequate relief valves

  • All pressure vessels have the proper certifications

  • No leaks should be evident in the device or piping

  • Piping identified with tags

  • Risk Rating

Lock Out/Tag Out

  • Equipment in disrepair has been locked out

  • Review employee placing lockout to ensure knowledge.

  • LOTO devices, tags and locks are available. Tags have names.

  • All equipment has lockout instructions and lockout points

  • Risk Rating

Fire Protection

  • Fire extinguishers inspected for the month / year and ready for use

  • Fire extinguisher signs on all FE's

  • Good clearance on sprinkler heads

  • Paint booth sprinkler heads covered to prevent paint caking

  • Alarm systems inspected at least every 6 months.

  • Combustible packing at least 33 feet from shop buildings

  • No accumulation of dirty rags or papers.

  • Risk Rating

Confined spaces

  • Entrance to Confined space has permit, equipment and rescue.

  • All confines spaces haves signs and are secured

  • Risk Rating

First Aid Kits/Stations/Equipment

  • Adequate number per amount of employees. Well stocked

  • Identified with signs

  • AED inspected

  • Risk Rating

Welding, Cutting or Brazing

  • Hot Work Permit System in Effect

  • Work Done by Qualified Persons Only . Equipment inspected

  • Fire Watch Maintained. Fire extinguisher on hand. Cover openings floor/wall

  • Adequate Ventilation Provided (in shop & portable

  • Welding Screens Used & Combustibles. Combustibles 30 ft away.

  • Risk Rating

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